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Please complete part A and either section 1, 2 or 3.

* Mandatory field

Part A

* Please enter the reference number that appears on your letter followed by your last name (e.g. 11345678/last name). If you have not received a letter please give your full name and date of birth.

Telephone / mobile number

Email address

Section 1. I am attending or will be starting a sixth form, FE college or higher education provider

Start date

The name of my sixth form, college or university is

The name of my course is (e.g. A levels / BTEC National Diploma travel & tourism / history degree)

Section 2. I have an apprenticeship or a job

Name of employer / business / company e.g. Tesco

Job title (e.g. sales assistant/apprentice electrician/care worker/accountant)

Start date

If yes please state the name and level of the qualification – e.g. NVQ level 2 hairdressing / plumbing

I am training with (e.g. Suffolk New College or name of the training provider)

Section 3. I am doing none of the above, but instead I am doing one of the following:

Foundation Learning Programme
Other non-paid training placement

Start date

Name of training provider (e.g. YMCA Training)

I am unemployed
I am not available for work or training

Please give details why you are not available for work or training

Please tell us any other information you think may be helpful

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Your details

Part A

Section 1. I am attending or will be starting a sixth form, FE college or higher education provider

Section 2. I have an apprenticeship or a job

Section 3. I am doing none of the above, but instead I am doing one of the following: